National Provider Identifier [NPI]: |
1245258045 |
Last Name Of The Provider |
TAGAWA |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
525 E 68TH ST |
Street Address 2 Of The Provider |
STARR 341, WCMC DIVISION OF HEMATOLOGY & ONCOLOGY |
City Of The Provider |
NEW YORK |
Zip Code Of The Provider |
100654870 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
28458 |
Number Of Medicare Beneficiaries |
298 |
Total Submitted Charge Amount |
1577535 |
Total Medicare Allowed Amount |
565892.44 |
Total Medicare Payment Amount |
436869.68 |
Total Medicare Standardized Payment Amount |
423498.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
26918 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
1142650 |
Total Drug Medicare AllowedAmount |
389752.31 |
Total Drug Medicare PaymentAmount |
303612.88 |
Total Drug Medicare Standardized Payment Amount |
303612.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
1540 |
Number Of Medicare Beneficiaries With Medical Services |
298 |
Total Medical Submitted Charge Amount |
434885 |
Total Medical Medicare Allowed Amount |
176140.13 |
Total Medical Medicare Payment Amount |
133256.8 |
Total Medical Medicare Standardized Payment Amount |
119885.32 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
105 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
75 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
213 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
237 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
73 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.3702 |